Individual provider · Type 1 NPI

Sumita Gupta, BDS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1083046080 Active

Practice location

263 Farmington Avenue
Farmington, CT 06030

Mailing address

105 S Main St, Apt # 105
West Hartford, CT 06107-2524

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083046080

Sumita Gupta, BDS's National Provider Identifier is 1083046080, issued on Aug 1, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Aug 1, 2013.